Sleep-related cognitive processes, arousal, and emotion dysregulation in insomnia disorder: the role of insomnia-specific rumination

Palagini, Laura; Moretto, Umberto; Dell’Osso, Liliana; Carney, Colleen E.

doi:10.1016/j.sleep.2016.11.004

Cited by 76 publications

(48 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alternatively, or perhaps better yet adjunctively, individuals with high cognitive reactivity to stress may decrease their risk for depression through training in mindfulness [ 66 , 67 ] or other decentering skills, which can reduce overall cognitive intrusions and may be deployed during nocturnal wake bouts. Skills to alleviate cognitive arousal may also reduce insomnia-risk, as perseverating on sleep problems [ 22 , 68 ] and stressors [ 6 , 28 ] contributes to insomnia disorder development. Those with a prior history of insomnia disorder or psychiatric illness would be likely best served to consult their primary health provider or a specialist in sleep or mental health services for early intervention.…”

Section: Discussionmentioning

confidence: 99%

Nocturnal insomnia symptoms and stress-induced cognitive intrusions in risk for depression: A 2-year prospective study

2018

View full text Add to dashboard Cite

Nearly half of US adults endorse insomnia symptoms. Sleep problems increase risk for depression during stress, but the mechanisms are unclear. During high stress, individuals having difficulty falling or staying asleep may be vulnerable to cognitive intrusions after stressful events, given that the inability to sleep creates a period of unstructured and socially isolated time in bed. We investigated the unique and combined effects of insomnia symptoms and stress-induced cognitive intrusions on risk for incident depression. 1126 non-depressed US adults with no history of DSM-5 insomnia disorder completed 3 annual web-based surveys on sleep, stress, and depression. We examined whether nocturnal insomnia symptoms and stress-induced cognitive intrusions predicted depression 1y and 2y later. Finally, we compared depression-risk across four groups: non-perseverators with good sleep, non-perseverators with insomnia symptoms, perseverators with good sleep, and perseverators with insomnia symptoms. Insomnia symptoms (β = .10–.13, p < .001) and cognitive intrusions (β = .19–.20, p < .001) predicted depression severity 1y and 2y later. Depression incidence across 2 years was 6.2%. Perseverators with insomnia had the highest rates of depression (13.0%), whereas good sleeping non-perseverators had the lowest rates (3.3%, Relative Risk = 3.94). Perseverators with sleep latency >30 m reported greater depression than good sleeping perseverators (t = 2.09, p < .04). Cognitive intrusions following stress creates a depressogenic mindset, and nocturnal wakefulness may augment the effects of cognitive arousal on depression development. Poor sleepers may be especially vulnerable to cognitive intrusions when having difficulty initiating sleep. As treatable behaviors, nighttime wakefulness and cognitive arousal may be targeted to reduce risk for depression in poor sleepers.

show abstract

Section: Discussionmentioning

confidence: 99%

Nocturnal insomnia symptoms and stress-induced cognitive intrusions in risk for depression: A 2-year prospective study

2018

View full text Add to dashboard Cite

show abstract

“…15,16 Physiological hyperarousal, which has been identified as a key factor in insomnia, is present over 24 hours [15][16][17] and may interact with cognitive and emotional responses to perpetuate insomnia. [18][19][20][21] Hyperarousal has been shown to be a characteristic of individuals with elevated stress-related sleep reactivity, which is defined as the degree of sleep disruption in response to stressful events; sleep reactivity has been shown to predispose to the development and maintenance of insomnia disorder. 14,[22][23][24][25] Recently, there has been a paradigm shift in the understanding of the stress-risk-vulnerability dimension in clinical psychology that identified the capacity and dynamic process of adaptively overcoming stress while maintaining normal psychological and physical functioning labeled as resilience.…”

Section: Lack Of Resilience Is Related To Stress-related Sleep Reactimentioning

confidence: 99%

Lack of Resilience Is Related to Stress-Related Sleep Reactivity, Hyperarousal, and Emotion Dysregulation in Insomnia Disorder

Palagini

Moretto

Novi

et al. 2018

Journal of Clinical Sleep Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…As a consequence, individuals with insomnia find it difficult to inhibit sleep-related information under emotional distress, which manifests as a form of sleep-related attentional bias relative to good sleepers. This explanation was further supported by the evidence that individuals with insomnia are characterized by poor attentional control (Mitchell, Mogg, & Bradley, 2012) and emotional dysregulation (Palagini, Moretto, Dell'osso, & Carney, 2017). If so, it would benefit psychological treatments of insomnia (e.g.…”

Section: Attentional Bias Emotion and Insomniamentioning

confidence: 88%

The impact of negative mood state on sleep‐related attentional bias in insomnia

Zheng

Feng

Lin

et al. 2018

Journal of Sleep Research

View full text Add to dashboard Cite

Sleep-related attentional bias is thought to play a role in the maintenance of insomnia. However, this concept has been questioned by several studies that did not show the presence of sleep-related attentional bias in clinical insomnia or poor sleepers. Our goal in the present study was to test whether the mood state of individuals with insomnia affects the presence of sleep-related attentional bias. To this end, 31 individuals with insomnia and 34 good sleepers were randomly assigned to a negative mood-inducing condition or a control condition. They then completed a visual probe task with three types of pictorial stimuli (general threat, sleep-related negative pictures and sleep-related positive pictures). Vigilance, maintenance and the overall bias indexes were calculated based on the reaction time. We found individuals with insomnia only showed a greater overall bias compared with good sleepers following a negative mood induction, regardless of the pictures presented. In addition, we found that a negative mood state was significantly correlated with the overall attentional bias in good sleepers but not in individuals with insomnia. These findings suggest that sleep-related attentional bias in insomnia can be modulated by mood state. This effect may reflect the dysregulation of top-down attentional control in individuals with insomnia.

show abstract

Sleep-related cognitive processes, arousal, and emotion dysregulation in insomnia disorder: the role of insomnia-specific rumination

Cited by 76 publications

References 53 publications

Nocturnal insomnia symptoms and stress-induced cognitive intrusions in risk for depression: A 2-year prospective study

Nocturnal insomnia symptoms and stress-induced cognitive intrusions in risk for depression: A 2-year prospective study

Lack of Resilience Is Related to Stress-Related Sleep Reactivity, Hyperarousal, and Emotion Dysregulation in Insomnia Disorder

The impact of negative mood state on sleep‐related attentional bias in insomnia

Contact Info

Product

Resources

About